Assistance options for eligible patients
Since we first started providing access and reimbursement support over 20 years ago, Genentech has helped more than 1.5 million patients access the Genentech medicines they need.
If your patients have financial concerns related to their Genentech
medicine, we may be able to help.
CellCept® $15 Co-pay Card Program†
Commercial patients who are eligible for the CellCept® $15 Co-pay Card Program could:
- Reduce their out-of-pocket costs to $15 per monthly co-pay, regardless of their annual income level
- Cover up to $10,000 per year on co-pay obligations
Enroll your patients
today or learn more about the CellCept® $15 Co-pay Card
Program by calling 1-833-CellCept (1-833-235-5237) from 8:00 AM to
8:00 PM ET (Mon-Fri) .
Genentech Access to Care Foundation (GATCF)‡
GATCF provides free medicine to eligible patients who are uninsured, rendered uninsured by payer denial, or underinsured. To qualify, patients must meet specific criteria.
For more information on GATCF, please call 1-888-754-7651 9:00 am to 7:00 pm ET (Mon-Fri).
To enroll in GATCF, please fax the following forms to Genentech® Access Solutions (fax 1-800-305-1830):
- A Patient Notice of Request for Transmission of Health Information (PAN) form signed by the patient. Download English or Spanish.
- A completed Statement of Medical Necessity (SMN) with appropriate services indicated. Download English.
*CellCept is used in combination with cyclosporine and
†By using the CellCept® $15 Co-pay Card Program,
the patient acknowledges and confirms that, at the time of usage,
(s)he is currently eligible and meets the criteria set forth in the
terms and conditions described.
This co-pay card is valid only for patients with commercial
(private or non-governmental) insurance who are taking the medication
for a Food and Drug Administration (FDA)-approved indication. Patients
using Medicare, Medicaid, or any other government-funded program to
pay for their medications are not eligible. Patients who start
utilizing government coverage during their enrollment period will no
longer be eligible for the program.
This Co-pay Card Program is not health insurance or a benefit plan.
Distribution or use of the co-pay card does not obligate use or
continuing use of any specific product or provider. Patient or
guardian is responsible for reporting the receipt of all Co-pay Card
Program benefits or reimbursement received to any insurer, health
plan, or other third party who pays for or reimburses any part of the
prescription filled using the Co-pay Card Program, as may be
The co-pay card is not valid for medications the patient receives
for free or that are eligible to be reimbursed by private insurance
plans or other healthcare or pharmaceutical assistance programs (such
as Genentech® Access to Care Foundation (GATCF) or any other
charitable organization) that reimburse the patient in part or for the
entire cost of his/her Genentech medication. Patient, guardian,
pharmacist, prescriber, and any other person using the co-pay card
agree not to seek reimbursement for all or any part of the benefit
received by the recipient through the offer.
The co-pay card will be accepted by participating pharmacies,
physician offices, or hospitals. To qualify for the benefits of this
Co-pay Card Program, the patient may be required to pay out-of-pocket
expenses for each treatment. Once enrolled, this Co-pay Card Program
will not honor claims with date of service or medication dispensing
that precede program enrollment by more than 120 days. This co-pay
card is only available with a valid prescription and cannot be
combined with any other rebate/coupon, free trial, or similar offer
for the specified prescription. Use of this co-pay card must be
consistent with all relevant health insurance requirements and payer
agreements. Participating patients, pharmacies, physician offices, and
hospitals are obligated to inform third-party payers about the use of
the co-pay card as provided for under the applicable insurance or as
otherwise required by contract or law. The co-pay card may not be
sold, purchased, traded, or offered for sale, purchase, or trade. The
co-pay card is limited to 1 per person during this offer period and is
not transferable. Program eligibility period is contingent upon
patient’s ability to meet and maintain all requirements as set forth
by the program. Genentech will periodically verify eligibility and
will terminate patients without obligation to pay claims if change to
status is detected. This program is not valid where prohibited by law,
and shall follow state restrictions in relation to AB-rated generic
equivalents where applicable (e.g. MA, CA).
The patient or their guardian must be 18 years or older to receive Co-pay Card Program assistance. This Co-pay Card Program is (1) void if the card is reproduced; (2) void where prohibited by law; (3) only valid in the United States and Puerto Rico; and (4) only valid for Genentech products. Healthcare providers may not advertise or otherwise use the program as a means of promoting their services or Genentech’s products to patients. Genentech reserves the right to rescind, revoke, or amend the program without notice at any time.
‡Genentech does not influence or control the operations or eligibility criteria of any independent co-pay assistance foundation and cannot guarantee co-pay assistance. The foundations to which we refer patients are not exhaustive or indicative of Genentech's endorsement or financial support. There may be other foundations to support the patient's disease state.
Help your patients access brand-name medicine
Your commercially insured patients can pay $15 per monthly co-pay with the CellCept® $15 Co-pay Card Program.